MRCPI-PART-1-RECALLS

MRCPase Telegram Group

APRIL 2017
Dr. Madani Globawe (AboHaneen)
 MRCPI PART 1 Recalls

April - 2017

1. Mitochondrial inheritance pic?

2. Left parietal lobe infarct what is the visual defect?

3. Patient presented with 12 hours headache and neck stiffness, his CT is

negative the next step is?

Answer: lumbar puncture?

4. Volume pressure curve in heart failure?

5. Side effect of drug treated by giving phentolamine what was these drugs?

Answer: adrenaline and beta blocker? (*my understanding to the question:

intravenous adrenalin infusion can cause dermal necrosis which treated with
phentolamine)

Page 1
 6. Patient has a high grade fever and cough with green sputum. On
examination, there is dull percussion and increase vocal fremitus?

Answer: Pleural effusion? Pneumonia?

7. Question about urinary incontinence?

8. Patient has UTI and he is allergic to penicillin?

Answer: Ciprofloxacin?

9. Patient presented 7 weeks after sore throat with edema and proteinuria?
Answer: Minimal changes?
10.
11. Female hypertension on thiazide and develops gout?

Answer: losartan?

12. Abdominal pain for 6 hour diagnostic test?

Answer: Amylase? X-ray?

Page 2
13. Patient with skin pigmentation, jaundice, liver failure and features of DM?

Answer: Hemochromatosis?

14. Cyclosporine toxicity like hirsutism and tremor?

15. Dactylitis, knee and ankle psoriasis?

16. Cervical lymphadenopathy and the biopsy finding….?

Answer: Hodgkin’s lymphoma? CLL? ALL? T cell lymphoma?

17. Anterior VS posterior spinal infarction?

18. Treatment of follicular thyroid CA?

19. Patient with thyroid cancer and lymphadenopathy his father and brother
have it at age 40 and 50 type?
Answer: anaplastic????

Page 3
20. Postmortem the cause of death was found to be SAH what could be the
etiology?

Answer: Berry aneurysm? Vascular malformation?

21. Causes of loud S1?

22. A lady with history of trauma to the hand (shut the door to the hand) one
month ago and presented with pain even with touching any aspect of the
hand?

Answer: Compression of the carpal structure (median nerve)?

23. Mitochondrial inheritance, a diagram shows affected male with optic

neuropathy?

Answer: Liebert’s hereditary optic neuropathy (LHON)?

24. 30 years dentist presented with painful ulcers in the hands with enlarged
epitrochlear lymph nodes?

Answer: Herpes?

Page 4
 25. Visual field defect optometry picture, affected temporal lobe, where is the
lesion in the diagrams?

Answer: Superior temporal?

26. Post-transplant colitis → intracytoplasmic lesion?

Answer: CMV colitis?

27. A woman is asking for immunization and her husband has stage 4Hodgkin
lymphoma?

Answer: Polio? Influenza? Pneumococcal?

28. Ultrasound was performed in two patients, one of them was a young
woman and the other an old lady, both have RUQ pain, gallstones, but the
young have …..!!!??

29. Positive predictive value, means what?

Answer: Sensitivity? Specifity? Pre-test probability? Posttest? Accuracy?

30. Patient develops jaundice after resolution of flu like symptoms?

Page 5
 31. Patient has hypercalcemia and Mobitz type 2 blocks in the ECG his CXR is
normal?

Answer: Familial hypercalcemic hypocalciuric? Hyperparathyroidism?

Sarcoidosis?

32.Hypersensitivity reaction?

Answer: delayed type 4?

33. Patient treated for hyperthyroidism following that he developed fever and
his lab showed leukopenia?

34.Schizophrenic patient treated with Haldol and developed fever?

Answer: NMS (drug induced – Haldol)?

35. Patient with urosepsis and he is hypotensive treatment?

Answer: Steroids? Antibiotic?

36.Hypernatremia management?

Answer: IV fluids?

Page 6
 37. Patient with small cell lung carcinoma and has hyponatremia?

Answer: Fluid restriction?

38. Patient develops contrast nephropathy what is the mechanism of injury?

Answer: Direct cytotoxic injury?

39. Metolazone site of action?

Answer: Loop of Henle? Distal convoluted tubule?

40. Diagnosis of Celiac disease?

Answer: Tissue transglutaminase? antigliadin? Anti-Endomysial? Biopsy 2nd

part of duodenum? Biopsy terminal ilium?

41.Drug Y given following by drop of the blood pressure (higher systolic and
lower diastolic) added phenyl then drug X?

Answer: prazosin? Propranolol? Adrenalin? Isoprenaline?

Page 7
 42.Warfarin monitoring?

Answer: APPT? Prothrombin? (INR was mentioned in the option)

43. AKI with hyperkalemia?

Answer: Hemodialysis? Bicarb? IV fluids?

44. Patient has uremia and found to have pericardial rub ECG provided?

Answer: Uremic pericarditis?

45.Egg shill calcification → silicosis?

46. Patient developed SOB and dry cough in his late 50th. On examination there
is bibasal crepitation. What is the most important question you want to
ask?

Answer: His occupation?

47. Patient presented with features of diabetes insipidus he gave history of

drink a lot of water. How you will investigate him?

Answer: Water deprivation test?

Page 8
 48. Patient admitted due to MI, later he developed low platelets?

Answer: Heparin‐induced thrombocytopenia (HIT)?

49. Patient admitted for MI and he develop pulmonary edema?

Answer: Papillary muscle dysfunction?

50. Alcoholic given nasogastric suction + other management but he

deteriorated?

Answer: Aspiration, bacterial infection?

51. Patient underwent sigmoidoscopy with rectal stump, he developed black

material accompanied with dropping of his hemoglobin?

Answer: EGD? Surgery again?

52. Patient presented with symptoms and signs of pancreatitis and found to be
hypotensive?

Answer: Fluid sequestration in the 3rd space?

Page 9
 53. Patient has MI and found to have a raised JVP?

Answer: Frank starling drawing? Cardiac output? Venous pressure?

54. In cystic fibrosis patient are lacking?

Answer: Sweat chloride? Sperm count?

55. Paget disease?

56. Pernicious anemia in a patient who has autoimmune thyroiditis?

57. Neck X-ray?

Answer: Ankylosing spondylitis?

58. X-ray of Spondylolisthesis?

59. Patient with MRSA resistant to antibiotic?

Page 10
60. Patient with non-caseating granuloma?

Answer: toxoplasmosis?

61. Pseudomembranous colitis treatment?

Answer: Oral metronidazole?

62. Patient with pneumothorax?

63. Patient treated for UTI with penicillin and develops allergy what
medication should be avoided?

Answer: Cefuroxime?

64. HIV patient with low CD4 management?

Answer: Cotrimoxazole?

65. ABG with metabolic alkalosis?

66.ABG with mixed metabolic acidosis and compensating respiratory alkalosis?

Answer: Aspirin over dose?

Page 11
67. Patient K/C of small cell lung CA presented with confusion and Na 125
management?

Answer: NaCl 0.9%? NaCl 1.8? TOLVAPTAN? Demeclocycline?

Page 12